HomeMy WebLinkAbout3118 Sam Houston Cir - Permits/Addition or Alteration - 06/21/1989DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION
SITE SETBACKS
P.O. BOX 580, FORT COLLINS, CO 80522-0580
221-6760
REAR
Fort Collins BUILDING PERMIT
City of
LEFT RIGHT
FRONT
JOB SITE ADDRESS 3118 SAM HOUSTON
F
g
Permit Type
BUILDING
Work Type Category Type
ALTERATION SINGLE FAMILY DETACHED
w
a.
Pro osed Use
RESIDENTIAL
Use Zone Permit Level
FULL/FINAL
Subdivision PUD
Filing
Q
Lu
Subdivision/PUD
Building Valuation
3 Lt 5 t
Lot
Block
Parcel No.
9i74-16-1.�1(;
ACCOUNT
FEE
DATE PAID
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Last
ALBERT
First
MICHAEL
M.I.
H
Plan Check
Lot Area
Bldg Permit
w
Parkland
�j#t
Plat File No.
Address city
z
3118 SAM HOUS T ON CR FT COLLINS
City, Sales Ta xh
O
State Zip Phone No.
tr eat OVerSlZing .____.....,..,_...
Street
,k� 4°i..�....,a.........._�..,_._........
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_
Off St. Parking
CO 80525 226-4383
Company Name Contractor License No.
Water Plant Investment Fee
$ewer Plant Fee
REQUIRED INSPECTIONS
Electric roun Under d
_ _9 �
�
Address City state
CALL 221-6769
Q
Water Rlghts
Trunkline
TO SCHEDULE INSPECTIONS
O
zip Phone Sales Tax No.
--
Misc.-
(See reverse side for
U
Construction Type Occupancy Group Fire Sprinkler
__. _ _
_ _-�
Inspection Description)
UGP
GL
RP
Building Square Footage
No. of Stories
Bldg. Height
TOTAL -FEES
°
cc
RE
FNE
RM
FNE
FR
FNP
Occupant Load
Occupancy Separation
Area Separation
Fire Containment
3
w
FNM
No. of Dwelling Units
No. of Bedrooms
Fireplace/Stoves
Basement
Stock Plan
Options
O
PfNTSH EXISTING GARDEN LEVEL` MOVE AND ADD ELECTRIC STUB IN NEW
'
CL
PLUMBING DRYWALL & TRIM
U
w
ZBA
Case No.
BBA Case No.
,
Permit No
tJ891334
Per o
INe 214 1989
DEPARTMENT
STATUS
.DATE -.
• •
Electrical
Zoning
As a condition for the issuance of a permit, I hereby declare that I am
__. _._Engineering
an owner or the owner's agent, authorized to perform the proposed
Water a sewer
work on the property described herein. I agree to comply with all the
p p Y g p Y
----- Street
Street Oversizmg
Mechanical
requirements contained herein, and City ordinances, and State laws
Storm Drainage
associated with such work. I understand that such permit may be
Plan Check—
PASSED —
8�ics21
revoked in the event that Mssua ce was based on incorrect information.
__.. Foudje Fire Authority_..
" -
C
Larimer County Health
Plumbing
Signature
Datel.
/21